Individual
ALEXANDRA GRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3320 GRANT ST, HOLLYWOOD, FL 33021-5405
(954) 812-4708
Mailing address
3320 GRANT ST, HOLLYWOOD, FL 33021-5405
(954) 812-4708
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI2753
FL
235Z00000X
Speech-Language Pathologist
Primary
SA20057
FL
235Z00000X
Speech-Language Pathologist
SZ10068
FL
Other
Enumeration date
11/03/2018
Last updated
03/10/2022
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